CARLOS FABRICIO BOSTON

LAKE CITY, FL
NPI1073924049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA24839)
Enumeration Date2014-05-13
Last Update Date2015-02-19
Business Address
-- CARLOS FABRICIO BOSTON PTA
146 SW ORTHOPEDIC CT
LAKE CITY, FL 32024-0672
Phone number: 386-755-9215
Mailing Address
-- CARLOS FABRICIO BOSTON PTA
4500 W NEWBERRY RD
GAINESVILLE, FL 32607-2245
Phone number: 352-336-6000
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